Associate, Network Contracting

5 hours ago
Full-time
Junior
Data Science and Analytics
Oscar

Oscar

Oscar is a health insurance company that offers plans for individuals, families, and small businesses. With a focus on humanizing health care through technology, design, and data, Oscar provides easy-to-understand bills, 24/7 access to doctors, and a p...

Insurance
1K-5K
Founded 2012

Description

  • Implement contracting strategies in partnership with network leadership and market leaders to support network adequacy, development, and cost management objectives.
  • Manage and negotiate contracts with assigned healthcare providers, ensuring favorable terms and compliance with organizational standards and regulatory requirements.
  • Review and analyze assigned provider contracts to identify opportunities for improvement and optimization.
  • Use data and analytics on provider financial issues and competitor strategies to inform negotiation and contracting decisions.
  • Meet defined performance metrics and service level agreements, including provider outreach and contract completion.
  • Collaborate with the provider services team on servicing, education, and communication to the provider network.
  • Monitor assigned networks for compliance with standards and develop corrective action plans with network contracting and market leadership to address deficiencies.
  • Ensure compliance with all applicable laws and regulations.
  • Perform other duties as assigned.

Requirements

  • 3+ years of experience in healthcare client management, healthcare consulting, provider healthcare contracting, healthcare operations, or a related field.
  • 2+ years of experience supporting provider network strategy development and negotiating provider contracts.
  • 1+ years of experience running financial analyses on markets or product lines and working cross-functionally to drive improvement opportunities.
  • 1+ years of experience navigating and organizing large data sets such as claim files and provider rosters.
  • Associate's degree or equivalent professional working experience preferred.
  • Experience working with regulatory guidelines and complex contract terms preferred.

Benefits

  • Base salary of $87,560 - $114,434 per year.
  • Eligible for annual performance bonuses.
  • Monthly vacation accrual at a rate of 15 days per year.
  • Participation in Oscar's unlimited vacation program.
  • Medical, dental, and vision benefits.
  • 11 paid holidays.
  • Paid sick time and paid parental leave.
  • 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Interested in this position?

Apply directly on the company website

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